Pill cutter

4,185 Comments.

Paul, thank you for your work and for continuing to answer questions. I found your book after years of low carb and more recently vlc eating have led to many health problems and malnutrition. I’ve started PHD and am slowly getting back to normal. I have to admit that I nearly abandoned it because of weight gain, but after reading and multiple rereadings, I’m going to stick with it and hope restoring good health restores my physical fitness in the long run.

Now, my question.

I’m 52 and 10 pounds overweight. I’m deficient in B12 and D and not at optimal range for most micronutrients. In addition, my total cholesterol is low and has been low for many years. Sometimes looking back, as low as 145! (Doctors used to congratulate me on my lipids.) My numbers as of last year are:

Total Cholesterol 188
HDL 99
LDL 75
Triglicerides 69

I’m waiting for more recent results on tests last week.

I’ve been experiencing most hypothyroid symptoms, from weight gain to hair loss to dry skin to constipation, etc., all of which I hope will improve with the diet. I’m writing today though about my tinea versicolor and the cholesterol connection.

After reading your posts on cholesterol and some other articles about cholesterol sulfate’s role in melanin production, I’m wondering if my low cholesterol and vitamin d suppressed cholesterol sulfate to my skin (because cholesterol was more needed elsewhere in my body), leaving my skin vulnerable to fungi overgrowth, and if so will TV improve with circadian rhythm training + increasing my total cholesterol level and vitamin D?

I’d like to avoid taking anti-fungal medication recommended by my derm. I’m also worried about the advice to stay out of the sun. I do understand that the spots that have no melanin are vulnerable, but how to temper that with the need for sun on my skin to improve vitamin d.

Your low LDL is an important clue. Normal is 130. Your levels commonly indicate iron deficiency anemia, less commonly hyperthyroidism or parasitic infections. You should get a thorough checkup including tests of iron and thyroid status.

Fungal infections are common when too low carb and malnourished, but should go away on their own with better nutrition. Likely to help are carbs, vitamin a, vitamin d, vitamin c, iodine, salt, magnesium, chromium, copper, taurine, glycine, N-acetylcysteine.

I’ve also requested DNA testing, as some cousins (celiac) have the MTHRF mutation and nephew (autistic) has a double mutation. The B12 I’ve been taking is cyanocobalamin form, not the methylcobalamin form. I understand people with the mutation can’t utilize the cyanocobalamin form, so could it be that?

I’m wondering what protocol in the book I can be following? AP is an autoimmune conditions, so will the sections on things like Hashimoto pertain?

I had just read about N-acetylcysteine and have it on order. I was diagnosed with Dupuytren’s and now I’m getting nodules in my feet, rather painful, which would indicate Ledderhose disease – rare in women. No one in my family that we know of had either. I plan to have DNA testing done.

Re: Iodine, I changed my salt to iodized salt when I first read the book. Is that sufficient? I rarely eat seaweed, but I can make the effort if it’s needed.

For magnesium, I just started a TBSP of magnesium sulfate every night both to help with constipation (and hopefully it will help with the circadian rhythm training). Is that sufficient for magnesium intake?

Hey Paul! Thank you for all your work. My wife and I have been trying to conceive for quite some time now (2 yrs). We are very disciplined in our eating, however we are dealing with some issues (PCOS) that require even more diligence in our efforts. I would like to know what you might recommend for male supplementation when trying to conceive?

Is there a relation between copper and estrogen/estradiol? I have high E2 levels and seem to be this way naturally, and have noticed some anxiety and depression with copper (Thorne, 2 mg). After some studies it seems that excessive serum copper could result in anxiety / depression disorders, and even Alzheimer’s. Further reading led me to some studies suggesting that high estrogen may actually increase copper.

Other related issues that I have are anemia, fatigue and dysbiosis/yeast overgrowth.

My diet is similar to PHD with lots of soups and stews made with bone broth but I don’t eat as much carbohydrates and vegetables as you advice because I don’t tolerate them very well.

With regards to lifestyle practices I try to manage my circadian rhythm as much as possible and do intermittent fasting 14:10 daily.

I currently take all of the supplements you recommend, although I take vitamin A as palmitate from Thorne weekly instead of vitamin A from Cod liver oil. In addition I also take extra molybdenum, NAC, liposomal glutathione, liposomal vitamin C and probiotics since I don’t eat/tolerate fermented foods.

Obviously there’s something wrong with the bioavailability of copper but I don’t know how to correct it. I’ve been thinking about adding a copper supplement and/or to start eating liver again but previously when I’ve eaten liver I have felt somewhat anxious and mentally “out of balance”.

In any case, something needs to change since I’m not going anywhere with what I’m currently doing and I’ve been dealing with this for several years.

Markus,
You might want to check your 24h-Urine Copper. Do it 2-3 times. If it is consistently very high then you might have one of several copper-related genetic disorders i.e. Wilson’s Disease.
I have low serum copper with low-normal ceruloplasmin. Tested for Wilson’s disease several times and came out negative. After 2 months of copper supplementation I managed to increase my serum copper levels to low-normal.
Since I have some form of GI infection I suspect that opportunistic pathogens are stealing copper away.

Does anyone have trouble with the once a week dosing of the B vitamins? When I do this I seem to be OK on the day I take them, although sometimes they can make me a bit tense and give me trouble sleeping, even when I take them in the morning. The next day though I often feel horrible.

I’ve done this several times in a row so I know it is the B vitamins doing it.

We recently moved to Okinawa, Japan and no longer have access to pastured liver of any type. We’ve been taking copper and Vitamin A as recommended, but I recently came across grass-fed liver capsules. Since whole foods are better than supplements is there a reason why liver capsules aren’t recommended instead of copper and A? My inclination is that you’d get some of the other nutrients from liver by doing the capsules vs the other way. I’ve looked around and bit and didn’t see an answer so I hope this isn’t redundant.

If it matters, I’m currently 12 weeks pregnant.

On an unrelated note, how do people get their yolks in? I hate to throw away food away, so I typically eat a couple of whole eggs each day. I seem to remember reading know that eating eggs regularly increases the likelihood of developing a sensitivity to them.

Hi Paul i hope you and your family are doing well. Lastly I’ve reading about the gcmaf and its link with the solution or some improving of cancer, Lyme, and a lot of other illnesses
Has it some merit?
Thank you

Just returned from a visit to my ophthalmologist because I had sudden and brief partial loss of vision. First occurred in April, bottom half of field of vision went grey for many seconds, maybe 30, then cleared. Decided it was debris in my eye. Then, a couple days ago it happened again, but for fewer seconds. Doc said it was a shot over the bow and is referring me for medical tests to check condition of my arteries. Said it was a TIA in a capillary in the back of my eye. So…”stroke.” He did not use that word, though. Ordered me on fish oils and aspirin. I eat my 3/4 to 1 lb of salmon a week. Realize I have not been taking ubiquinol since spring. Don’t know what happened with that; just careless, I guess. I would appreciate thoughts about this. I haven’t taken fish oil since 2011 when I started making certain to get the weekly salmon.

Andy here again. My question is on vitamin C and iron. My blood work shows a high level of serum iron – in fact, it increased from 65 μg/dL to 171 μg/dL! Coincidentally, per PHD I have been taking 500 mg vitamin C. According to some research, vitamin C may help iron absorption. Any thoughts on possibly cutting vitamin C out?

I’ve recently seen a number of blood test results from men who have increased their testosterone levels by supplementing with 6mg per day of boron.
I’ve read, however, that supplementing with boron lowers manganese levels. I know that you are against supplementing with manganese, but do you think it would be safe to take an 8mg tablet of manganese once or twice a week while taking 6mg/day of boron?
Thanks.

Hi, Someone asked earlier about Spirulina…I have been taking this for years with great results (no colds/sickness, better energy). It seems Spirulina would be a good substitute for seaweed. Would appreciate any thoughts you have on this, Thank you!

Hi. Would anything help a thyroid nodule? My Endocrinologist wants me to have my left side of my thyroid taken out but it’s been biopsied and is non-cancerous. My thyroid levels are normal and I have no symptoms. I’d love to keep my ENTIRE thyroid but just shrink the nodule. I eat very little iodine as I don’t like seafood. Any suggestions? Size is 2.7cm (transverse) x 3.0cm.

Hi Paul
My name is Michael Vassiliou I am 56 years old osteopath; I have a special interest in exercise physiology, sports psychology and nutrition. I am an avid follower of the PHD. I recommend your book and the PHD to all my fellow athletes and friends!!
I am elite masters track athlete that regularly competes at sprints at masters international athletic events. With careful optimized training and the PHD diet I and comfortably walking around at 10% body fat which gives me a big advantage over my fellow competitors with regards to power to weight ratio when competing. I am protein S deficient and have been taking Warfarin an anticoagulant since the age of 37 (19 years) after I had a spontaneous DVT.
Apart from meniscal knee problems and chronic intermittent tendinopathies. My biggest concern is my chronic elevated LDL’s. I have had elevated LDL’s for years. I recently had a CT coronary angiogram performed reporting a total Agatston score 0.10th percentile showing no coronary artery disease. I have resisted my Dr’s attempts to put me on statins. I recently read your article on elevated LDL’s and the possibility that raised LDL’s I may be caused by chronic widespread vascular injuries that may be due to a lack of chromium in the diet? I’ve been advised not to take Vit K2 to prevent excess clotting? But I do take your recommend dose of Magnesium 200 mg, Iodine 225 mcg, Zinc 50mg a week, Vit D3, Pantothenic acid 500 mg Vitamin C 1g. Would your recommend me taking a chromium supplement? or is there a multi-mineral you can recommend?
Kind regards.
Mike

I generally think that it may be better to take some K2 even if it means you need to slightly elevate the warfarin dose; but it is understandable to refrain from supplementing. The elevated LDL is a concern, it can commonly indicate iron excess (in which case donate blood as frequently as possible), hypothyroidism (in which case treat it), or small intestinal bacterial overgrowth leading to metabolic endotoxemia. Chromium is generally fine to supplement but supplementation shouldn’t be necessary if you cook in stainless steel pots, as some chromium will leach into foods from the steel. I generally recommend supplementing individually rather than with multi-vitamin or multi-mineral supplements.

Hello Paul,
I’ve been following the PHD for over an year now and my health has improved so much, my gratitude cannot be expressed in words.
Unfortunately I have something that I can’t seem to figure out. Symptoms are mild skin lesions like paper cuts and occasional nose bleeds. Could it be copper deficiency?
Kind Regards,
Stan

If you are eating 1/4 lb beef or lamb liver per week, you won’t be copper deficient (unless you are oversupplementing zinc). If you are concerned about that, you can get serum copper and ceruloplasmin tested.

More likely you are missing nutrition for maintaining skin health. Try eating more extracellular matrix soups and stews (e.g. bones, joints, tendons, chicken feet, ox hooves, etc) and shellfish, plus supplement taurine or N-acetylcysteine for sulfur and vitamin C. Also, be sure vitamin A and D status is optimized. You might want to try the Mother Dirt skin probiotic as well, to help clear any skin infections.

Hi Paul, I am unsure as whether to take pantethine or the acid. In my readings they seem to accomplish different things. The acid is so much cheaper. Can you please provide me with guidance? Thank you sir.

I am reading in your book about B vitamins and you say that “Bacteria and other microbes are dependent mainly on B vitamins” so I have concerns since I am working with a functional medicine doctor who knows that I suspect that I have a bad fungal infection despite the fact that my labs from Doctors Data show ‘none’ for detection of yeast.
I am getting started on a Methylation Protocol which consists mainly of B vitamins – is this then disasterous for a fungal infection?
Thanks for all that you do.
Regards,
Jackie

Hello again Paul. I too have a supplement question. Since I intermittent fast daily I generally wait to take all my daily vitamin with my first meal accept iodine which I take on empty stomach. I have 1 or 2 morning coffee with heavy cream and mct oil daily. Since I’m getting 400 calories of fat with my coffee would you suggest I at least take my D3,K2 with my coffee since they are fat soluble ? Can I take them all with my coffee or should I break them up? D3,K2, C, B5, taurine. Any advise would be helpful

HI Paul
Thank you for your book. I have bought one for our kids too. I have a type 2 diabetic husband and wondered what your suggestion would be regarding him going ketogenic? He is 30 kilos (yes kilos) overweight. Any help would be really appreciated.

Hey Paul, I read and loved your book a few years ago and was wondering if anything has changed since then in terms of recommendations? Or if following the book to the letter currently is still the best thing. Thanks!

Hello I just finished reading your book for the first time, plan to re-read it as there is a lot to absorb! Thank you for offering this helpful information! I have a question is there a basis for determining the need for vitamins and minerals prior to taking them? Are there a few factors that contribute a person’s need for vitamins, if so what are they? Thank you!

Unfortunately the tests for nutritional status are not very reliable. Fortunately everyone needs a similar diet, so you can almost guarantee a good nutritional status if you eat PHD and follow our supplements. The biggest differences are with age, e.g. young children need more zinc and vitamin K and less protein (relatively).

Paul, I’d value your thoughts on this recent health blog and does it persuade you to make alterations in your recommendations. Very many thanks.

“Vitamin A deficiency is not addressed too often in the US, because it’s commonly thought that a diet filled with colorful veggies adequately provides everyone with adequate levels of Vitamin A. But the adequate conversion of carotenoids to Vitamin A should not be assumed.
Even nutritional labels are guilty of this, calculating that 1 mg of beta carotene yields 1667 IUs of vitamin A in the body. But, this level of conversion is not guaranteed, and may not even be accurate based on genetic differences in our ability to make the conversion.
Recent studies have been confirming that the conversion of carotenoids into vitamin A is lower than we originally thought. The Food and Nutrition Board recently reduced its conversion rate of beta carotene to vitamin A by 50% and there is speculation that this standard conversion rate may continue to be lowered as more studies are performed.
Other papers report that absorption rate of carotenoids is as low as 3% even in optimal conditions, while the absorption of preformed vitamin A from animal products is 70-90%.
Research has also shown that some people are much better at converting carotenoids to vitamin A compared to others. Many individual factors affect if you are a good or bad converter and why you may be more prone to a deficiency. ,”

I agree with that. In PHD, we try to get a majority of the weekly requirement of vitamin A by eating 1/4 lb liver per week. Carotenoid rich vegetables can provide the remainder. That’s all it takes. If people don’t eat liver, then we recommend supplementation of a similar amount of active vitamin A weekly, see the recommended supplements page.

Hi Paul,
I’m looking for a probiotic recommendation for my 92 year old mother. She is generally healthy except for frequent imbalance in her gut that causes bloating, gas, constipation. She recently had the flu and after a course of antibiotics wants to restore her beneficial gut bacteria. There are so many brands on the market–which are best for elderly people?

First of all thank you for your work! I was diagnosed with CFS several years ago. While my energy levels are decent these days, they’re no where near previous levels and the brain fog is still hard to deal with. I’ve also tested positive for HSV-1 and HHV-6, both of which seem to be implicated in CFS. Would you change or add any dietary or supplement recommendations based on that? I’m afraid that if there’s an ongoing infection some supplements might be feeding the bad guys? Considering going on Valgancyclovir to address possible infections, but afraid of nasty side effects. Any advice would be most appreciated!

I would stick to our advice. You could cut down the B vitamins from once a week to occasionally/rarely, and consider adding some of the therapeutic supplements (especially extra vitamin C, taurine, and N-acetylcysteine). Carefully optimize vitamin A, vitamin D, circadian rhythms, and do the intermittent fasting.

Do you have any opinions on the idea that ascorbic acid (the most commonly sold vitamin c supplement) isn’t ideal because it’s mostly made from GMO corn? I’ve looked into supplements that use cherries, amla, etc. as the source of vitamin c, but they’re very expensive. The argument is that it’s not GMO and that it’s more easily processed by the body since it’s a natural form of vitamin c. I’d love to hear your thoughts on the subject!

First: Thanks for the great book and the very lovely heartfelt ending in the last chapters.

I am confused about a few things though and hope to find some help.

1.) I am hypothyroid without Hashi, and already read in the comments, that you switched from a possible higher intake of iodine advised in the book, to a “normal” daily intake. Selenium stays at the “minimum”, and should be obtained via food.
Yet Germany is very low on both in the soil. I refrain from eating seafood because of heavymetals and cannot afford a lot of quality meat here (beein a student…. yeahy 🙂 )
So i wanted to ask if i should supplement selenium non the less. I would eat brazil nuts, but can only get some from Bolivia, which would be very low on selenium.

2.) Basicly same goes for zinc. Due to my fear of eating “cheap meat” i get maybe 200 g of muscle meat every second day, and get the liver of course. But i guess that is not enough zinc for me, if i don’t buy oysters.
So again, should i supplement daily?

3.) In general i would love to have a recap on fighting hypothyroid on the micro nutrient side. Maybe that is something for a next article? 🙂
I know eleminating food toxins is first. Optimizing everything else is second. But it would be nice to sum up your experience with iodine. How and when you got too much selenium. Or what else Matt Farina did or took to help his thyroid.

Phew. Lots of stuff. Hope this is not too much to read. Cheers, many thanks and greetings from Germany

If you stick to seafood that is low on the food chain, the quantities of heavy metals are tiny. For example, eating a pound of oysters (low on the foodchain) every week — enough to provide ample zinc and selenium — would be a smaller dose of mercury than eating a single 5 oz can of tuna (higher on the foodchain) every two months.

I don’t think you should worry about cheap meat (at least not cheap muscle meat). Paul and Shou-Ching write in their book:

“…for many cuts of meat or vegetables, including beef and lamb muscle meats and most produce, organic produce and grass-fed meats have only small advantages over conventional alternatives. So if your budget does not permit buying these foods, have no fear…”

I didn’t know that the amout of mercury would be that low. I read about that, but still i was afraid.

Yeah i remember what Paul wrote. It is just a personal dilemma for myself, you know? I really don’t want to eat meat which is produced that way and also it is still pricey for me. So i thought it would be a good idea to supplement.

Hi Paul – my wife was diagnosed several months ago as deficient in Vitamin B12, and put on weekly, and then monthly, B12 shots. This helped for a while, but lately she has been regressing (despite continuing with the shots, as prescribed), and we’re trying to figure out why. Some of her main symptoms now are brain fog/memory issues, and tingling in her hands/fingers (two of the same symptoms she had initially, though they were worse before any B12 shots). Her serum B12 is over 1200, so she clearly has enough B12 in her blood now. She eats almost no eggs, and no liver (can’t stand the taste of either one), despite my urging to eat some of both. Any advice? Should she be taking a choline supplement, as well as the B12 shots and B-complex capsules? (I noticed that the B-complex capsules have very little choline…….only 50 mg). Her thyroid blood test numbers are fine, as are most other blood test numbers. Thanks…………Robert

Would you agree with Chris as far selenium supplements go, that selenomethionine would be better than methylselenocysteine ??

“There’s a methylselenocysteine supplement offered by Life Extension and I believe some other companies are making it now.

Methylselenocysteine is not selenocysteine. It is a detoxification product of selenocysteine. There is a salvage pathway by which we could use it, but it’s an intermediate in our own detoxification pathway. So I can’t imagine that it has good bioavailability. I’m sure it has some.
So I would not use methylselenocysteine.

I think that in someone with glutathione status, selenite is probably fine, but what we’ve seen is that when you’re fixing a deficiency, sodium selenite is probably half as good as selenomethionine.
So because the availability of the supplements does not include selenocysteine, I would opt for selenomethionine.”

Dear Paul,
6 months ago my blood test showed very low Vitamin D levels. I started supplementing with 5000IUs of Vitamin D per day and after a month or so my Vit D levels were fine. Unfortunately whenever I take Vitamin D my sleep quality is greatly diminished (very shallow sleep, waking up during the night etc.). I tried taking it early in the morning but it didn’t help. I tried different supplement brands too – no difference. When I stop taking it sleep patterns normalize after a week or so. Any ideas?

A second possibility is that the extra vitamin D is exacerbating a deficiency of related nutrients like vitamin A or vitamin K. If you don’t eat liver weekly you can easily have a vitamin A deficiency. Likewise supplementing magnesium would help balance calcium excess.

Hi Tyler, we highly recommend the yolks, are indifferent to negative toward the whites. They are almost entirely protein and are an inferior source of protein due to their immunogenic potential as well as the potential of avidin to induce biotin deficiency. No one is protein deficient, so the whites have almost no nutritional value. But, if you like the taste, we won’t try to discourage you.

I’ve been on the diet and supplements for almost two years now, but lately I’ve been experiencing major sleep issues. I’ve been experimenting to see which supplements might be causing me insomnia, and it seems that D3, magnesium and possibly iodine are the biggest offenders. They give me a LOT of energy. Even when taken in the early morning, I always end up with a racing mind in the evening. Taking 1 mg melatonin relaxes me but I still remain in a half-awake state throughout the night. I follow most of the recommended circadian rhythm strategies: intermittent fasting, morning and afternoon sun exposure, daytime exercise, eating within daylight period, avoiding blue lights at night, socializing in the day…

I did a couple months trial where I stopped taking supplements altogether and I was able to fall asleep again, however a new symptom arised: waking up in the middle of the night and not being able to get back to sleep, usually around 1:00 AM, or 4:00 AM when I take melatonin.

Throughout these trials I have been eating as close as possible to the diet, although I do not eat liver. Tried concentrating carbs into last meal and eating some fruit for dessert. No strategy helps my sleep IF I am taking supplements.

Some other things to point out while on the diet & supplements:
– I’ve been experiencing a little bit of weakness in the gym, especially when eating less meat and more potatoes/rice. Lifting weights seems more difficult than it used to be.
– Some days when I am underslept, I still have energy and I don’t necessarily feel “tired”, but have this sort of lightheaded feeling.
– I have to urinate more often, even though there isn’t all that much to expel. The urine is a very vibrant yellow.
– I seem to be a much lighter sleeper these days, getting more easily awoken by certain sounds in the house.

Any idea as to why these things might be happening to me? I am starting to suspect hypercalcemia or some thyroid problem. I would like to get the extra nutritional benefits from supplements as I cannot get everything from food alone, but it’s just not worth it if I can’t get adequate sleep. What’s really strange is that these things didn’t used to happen to me when I first started the diet.

– My “day” is set for 8:00 AM to 8:00 PM.
– I was taking 1000 IU D3, 200 mg magnesium, 225 mcg iodine.
– I get calcium from cheese and bone stock, but only occasionally.
– Eating a breakfast instead of fasting seemed to make no difference.

First, I would try the balancing nutrients to those that give you trouble. If you don’t eat liver, you should supplement vitamin A, perhaps 50,000 IU per week. You should probably supplement calcium, around 400 mg/day. Be sure to get enough salt and drink enough fluids to balance the iodine. Also if you don’t eat liver, supplement copper. Be sure to get 3 egg yolks and 2 tbsp vinegar per day. Also, be sure your plant foods are providing enough potassium. Tomatoes are a good vegetable source; try to favor potatoes over rice.

Re the circadian rhythms, try getting some early morning sun exposure and light exercise. If your day runs 8 am to 8 pm, try 10 minutes of outdoor exercise at 8 am. Urination at night is a suggestion that your circadian rhythms are off, probably due to delayed triggering of daytime signals.

For the weakness, you may need a bit more protein and carbs together. More total calories helps. Undereating could be contributing to the insomnia.

You should have your doctor test for thyroid status routinely. Hypercalcemia is unlikely unless you have been oversupplementing vitamin D, which doesn’t seem to be the case based on your followup post.

Thank you for the thorough response. I will try your suggestions and report back with the results. Vitamin A is especially one thing that I’ve been missing.

I think I will also try to up my D3 intake to 4,000 IU on days without sunlight. Is it plausible that the effects I’m experiencing from vitamin D (heightened energy, racing thoughts, insomnia) are linked to deficiency, in that my body is having trouble adjusting? I live in Canada so I get very little sun for many, many months.

Vitamin A and D are both crucial for immunity (especially in the gut), and synergistic, so you have probably been deficient in both, especially in the winter, so it’s possible you’ve developed a gut dysbiosis that is causing inflammation. Or there could be some other mechanism, it is hard to diagnose. But, try this, and see if things improve.

What are your thoughts on desiccated beef liver pills as a supplement… probably not as perfect as fresh liver… but is it a better option than taking individual supplements of vit a, copper, choline, folate, etc.
Would you still need weekly zinc?

One more question, Paul:
Should I stop consuming fruits because I can’t?
It’s difficult to eat less than 2-3 servings (fruits) per day even while my fat intake is enormous. Is it due my training regimen?
P.S. I’m taking cold showers daily and quit porn for years so it’s not about will power.

We recommend eating 2-3 fruits per day, so I’m not sure what the problem is. You need some carbs including both fruit and starchy plants like rice or potatoes. The need for carbs is independent of the need for calories, so eating lots of fat won’t eliminate your need for fruit and starch.

I have a autommmune renal condition called IGA Nephropathy. There are few know treatments other than using ACE inhibitors or ARBs. Steroids are also used in more severe cases. Fortunately my disease was caught in the early stages and has been kept under control very well since.
Many researchers have studied the use of fish Oil supplementation as a treatment option for omega3 pufa’s potential of reducing renal inflammation and improving hemodynamics. Studies are not definitive in this area yet a lot of nephrologist recommend taking the fish oil. My doctor included.
My question is in regards to PHDs view of not using fish Oil supplements. Do you think following a strict PHD lifestyle would have equal or greater health benefits to where fish Oil wouldn’t be necessary. I’ve taken fish Oil daily for the last 3 yrs. I was diagnosed 4 years ago. I’ve been strict PHD for one month and feel great. My disease state is very well controlled. Just not sure about discontinuing fish Oil. Obviously I don’t want to hurt my body one way or the other. Thoughts? Thank you for all that you do and have done.

Regular intake of fatty fish, such as salmon, is always going to be better than fish oil supplements. If you have a sushi place nearby, you could get a small order of sushi daily or every other day for a better quality of fish oil.

Tolerability of fat seems to vary by person after gallbladder removal, some do fine and others don’t, probably depending on the gut microbiome. You might eat a higher carb diet than otherwise, but you probably won’t need to vary too much. If you get steatorrhea, you may want to supplement with taurine, glycine, vitamin C, and egg yolks to support bile production. Optimize your intake of vitamin A, D, and K, plus vinegar and pantothenic acid, in order to help shape the gut microbiome.

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